Provider Demographics
NPI:1396843603
Name:BAKER, KAREN ANN (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANN
Last Name:BAKER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3017 HUNTSVILLE ST
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-4332
Mailing Address - Country:US
Mailing Address - Phone:504-782-3331
Mailing Address - Fax:504-461-0001
Practice Address - Street 1:3017 HUNTSVILLE ST
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-4332
Practice Address - Country:US
Practice Address - Phone:504-782-3331
Practice Address - Fax:504-461-0001
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13908183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist